IndividualActive
Melissa Black, M.D.
NPI 1376767483 · Geriatric Medicine (Family Medicine) Physician · Atlanta, GA
Provider details
- NPI number
- 1376767483
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 056266 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1365 Clifton Rd Ne
Atlanta, GA 30322-1013
Phone: (404) 728-6363
Fax: (404) 728-6298
Approximate (ZIP-level) locationGet directions
Mailing address
1365 Clifton Rd Ne
Atlanta, GA 30322-1013
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2012-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.